Skilled Nursing Facilities

Stage 2 – Care Plans

The Care Plans view shows you statistics regarding consistent use and timely creation of Care Plans, timely completion of Care Plan reviews, and Care Plan review cycle time.

  1. Click Stage 2 in the Evaluation Bar Chart.

  2. Click Care Plans.

Consistent Usage of Care Plans

  • Description - Percentage of residents who have an active care plan in their chart.

  • Impact - Compliance and reimbursement.

  • Measure - Active census lines.

  • Ways to Improve - Ensure all active residents have a care plan in their chart.

  • Related Reports & Dashboards – Missing Entries Report.

Timely Creation of Care Plans

  • Description - Percentage of residents who were admitted in the last 90 days that had a care plan created in their chart within 24 hours of admission.

  • Impact - Compliance and reimbursement.

  • Measure - Residents admitted in the last 90 days and residents admitted for more than 24 hours who do not have a care plan.

  • Ways to Improve - Make creating a care plan in the residents chart part of the admission process.

  • Related Reports and Dashboards – Missing Entries Report, Incomplete admission pane on Clinical Dashboard, Resident List report, and Care Plan Focus Summary report.

Timely Review of Care Plans

  • Description - Percentage of residents who have had a Care Plan Review completed within 90 days of their admission or prior Care Plan Review completion.

  • Impact - Compliance and reimbursement.

  • Measure - Currently Active Census lines, and residents who had a review completed within 90 days of admission.

  • Ways to Improve - Use the New Review button in the Care Plans tab and encourage all disciplines to sign off on respective sections. Encourage users to use this method quarterly with completion of OBRA MDS.

  • Related Reports & Dashboards– Missing Entries Report, Care Plan Reviews Due Report, Care Plan Reviews Overdue/Due in next x days on Clinical Dashboard.

Care Plan Review Cycle

  • Description - Average number of days between the Care Plan Review Start Date and the Care Plan Review Completion Date.

  • Impact - Compliance and reimbursement.

  • Measure - Care Plan reviews completed within the last 90 days.

  • Ways to Improve - Review Clinical Dashboard regularly to ensure that there are no overdue Care Plan Reviews.

  • Related Reports & Dashboards – Care Plan Reviews Due Report, Care Plan Reviews Overdue/Due in next x days on Clinical Dashboard.